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Individual
SHONNA P BALDWIN
Active
Individual
SHONNA P BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011809
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017463500
—
FL
01
—
1248337
WELLCARE-MEDICARE/MEDICAID
FL
05
—
300012198
—
IN
01
—
398535
AVMED
FL
01
—
4939267
AETNA
FL
01
—
8846255
CIGNA
FL
01
—
P01723488
RR MEDICARE
FL
01
—
P1046566
FREEDOM
FL
01
—
P980558
OPTIMUM
FL
01
—
ZNQDD
BCBS
FL
Enumeration date
04/12/2016
Last updated
05/18/2018
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